Beacon Pace Illinois LLC
Beacon Pace Illinois LLC is a PACE Provider Organization in Crestwood, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5419 135th StCrestwood, IL 60418-1529
Phone: (855) 801-2653
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X |
|---|
Record details
| NPI number | 1538991104 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Czermak — Chief Administrative Officer · (855) 801-2653 |
| Other names | Boldage Pace Illinois |
| NPI enumerated | August 14, 2024 |
| Last updated in NPPES | January 6, 2026 |
| Certification date | January 6, 2026 |
| Mailing address | 106 W Moore Ave, Mooresville, NC 28115-3551 |